Facial swelling for the emergency radiologist-typical and atypical causes

Emerg Radiol. 2021 Feb;28(1):177-183. doi: 10.1007/s10140-020-01809-x. Epub 2020 Jun 19.

Abstract

There are a wide variety of inflammatory, infectious, and cystic lesions which may lead patients to seek acute care for facial swelling. Computed tomography (CT) has become the mainstay for imaging in the urgent/emergent setting. However, magnetic resonance imaging (MRI) can also serve as a powerful problem solving tool in the modern era. As volume continues to increase, a wide variety of facial pathology will be encountered by the emergency radiologist. Recognition of both common and uncommon pathology will assist in diagnosis and value-based care. This article serves as an image-rich review of the many causes of facial swelling with an emphasis on key imaging findings and possible complications.

Keywords: Cavernous sinus thrombosis; Myositis; Odontogenic infection; Orbital cellulitis; Ranula; Rhabdomyolysis; Sialadenitis.

Publication types

  • Review

MeSH terms

  • Branchioma / diagnostic imaging
  • Diagnosis, Differential
  • Edema / diagnostic imaging*
  • Emergencies*
  • Eye Diseases / diagnostic imaging
  • Face*
  • Humans
  • Intracranial Thrombosis / diagnostic imaging
  • Magnetic Resonance Imaging*
  • Paranasal Sinus Diseases / diagnostic imaging
  • Ranula / diagnostic imaging
  • Rhabdomyolysis / diagnostic imaging
  • Stomatognathic Diseases / diagnostic imaging
  • Tomography, X-Ray Computed*